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"Negative ED experience"

About: Fiona Stanley Hospital / Emergency Department

(as a parent/guardian),

I presented to the Emergency Department at FSH with my adolescent grand-child, who I am a full time carer for, due to ongoing increasing stomach pain over a five day period. Before seeing the doctor a urine sample was taken, in which the nurse informed my grand-child and I they were well hydrated. The initial doctor who attended to my grand-child was empathetic and acted in a professional manner, they came to the conclusion that my grand-child was constipated, due to feeling hard lumps in their stomach upon examination.

The initial doctor stated they would go speak to their supervisor regarding the matter. When the doctor returned with their supervisor some time later, the supervisor stated my grand-child had a soft stomach upon examination, contradicting the initial doctor, and stated to the other doctor that there didn’t appear to be anything seriously wrong from touching my grand-child’s stomach and from asking them how their schooling was going. The supervisor proceeded to tell the other doctor to do a blood glucose meter finger prick test, and if that was normal to send us home.

Before the prick test was done the Supervisor proceeded to tell me that the ED was for emergencies and next time to take my grand-child to the GP first, upon which I responded that I could not get into my GP for over a week and that my grand-child had been curled up on the ground in pain this morning crying, they stated that I take my grandchild to an urgent care instead, in which I stated I did not have $139 to cover the costs as I’m on a DSP, they then told me that there were plenty of bulk billing doctors that I could’ve gone to instead, in which I responded that I don’t think it’s appropriate to see just any doctor every time my grand-child is having a medical crisis, to which I felt the supervisor ignored me and walked off. The prick test came back normal and my grand-child was discharged, however, at the time of writing this, we are still waiting for the discharge paperwork to be emailed to us as stated by the staff.

I am concerned as I don’t believe the staff at Fiona Stanley Hospital have taken my grand-child’s presentation to the Emergency Department seriously, in regards to their stomach, as no medical imaging was done to assess what could be causing the pain in their stomach e.g. ultrasound, nor was any blood work done, to make an informed medical outcome. It seemed the decision to discharge my grand-child was made on the merit of a urine analysis, glucose prick test, touch of the stomach and based on the staff’s observation of my grand-child.

Upon leaving the ED my grand-child still expressed pain, and upon getting home they were still in pain, and was going in and out of the toilet. This is the first time I have taken my grand-child to the ED since they were a toddler, and they have now informed me based on this experience they never wants to attend the ED again. This is greatly disappointing as my grand-child was already fearful and distrusting of doctors, and this experience has only affirmed that belief due to them not feeling taken seriously regarding their pain.

I am also greatly disappointed as a grandparent and carer, in the way in which the supervising doctor spoke to me regarding my grand-child’s presentation as though it was a waste of the hospital’s time and resources, insinuating that I shouldn’t have brought them to the ED.

In my opinion, please do better by the children who present to this Emergency Department and to the Parents and Carers who take the time in a medical emergency to see to their child’s needs, as no one wishes to spend a whole day at the Emergency Department. Please also be mindful not to lecture parents and care givers regarding presenting to the ED, especially when all the appropriate test and investigative measures for the presentation have not been carried out.

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Responses

Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 14 months ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 20/02/2023 at 1:44 PM
Published on Care Opinion at 4:02 PM


picture of Neil Doverty

Dear catwar57,

I am sorry to read that your grandchild was unwell. I do hope that they have since recovered from their stomach pain. Thank you for your kind words regarding the first doctor you saw – empathy and compassion are certainly traits we love to see in our doctors. I also note that you made reference that the care your grandchild received from nursing staff was good – thank you for that acknowledgement.

I understand your frustration with the alternatives provided to you when you presented to the Emergency Department (ED), however they are valid options for many medical episodes. I apologise the communication from the supervising doctor didn’t show empathy for you and your grandchild’s situation.

Regarding your concern about lack of tests, the majority of children discharged from our Children’s ED are able to be discharged without the need for unnecessary investigations. A great deal of medical information is obtained by patient history, examination and observation, +/- bedside tests such as urinalysis and blood glucose testing. Only a small number of children go on to imaging or blood work when there is concern regarding an urgent diagnosis that may require specific management. The specialist doctor involved was reassured by the bedside findings in your grandchild’s case and therefore felt it was unnecessary to seek more serious diagnoses based on the information obtained.

If you still haven’t received your discharge summary, please contact the Fiona Stanley Hospital switchboard (6152 2222) and ask to be connected to the ED clerk so you can provide your grandchild’s details and we can ensure it is sent to you.

Kind regards,

Neil Doverty

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